Comments on 'Labral base refixation in the hip: rationale and technique for an anatomic approach to labral repair'.

摘要

We read with interest the article by Fry and Domb entitled "Labral Base Refixation in the Hip: Rationale and Technique for an Anatomic Approach to Labral Repair." The authors described the importance of the acetabular labrum and suggested a technique for labral repair called "labral base refixation."They criticized the looped simple stitch technique because it causes bunching of the labrum and distortion of its normal triangular cross-sectional geometry. The most important objective in labral repair is to restore the labral seal and stabilize the chondrolabral dysfunction. This can be achieved with the looped simple stitch technique.The senior author (M.J.P.) reported good clinical outcomes of arthroscopic labral repair in professional hockey players using this repair technique in all stitches or in combination with the single-pass technique. Moreover, a 2-year follow-up study showed good improvement in the modified Harris Hip Score and high patient satisfaction with outcome in 112 patients treated with the same method.5 We believe that the suture looped around the whole labral tissue provides strong fixation, which allows the patients to perform greater range of motion in the immediate postoperative rehabilitation period. It is true that the labrum is compressed at the location where the suture is looped, but the general triangular configuration is not lost because the suture width is only 0.5 mm (Fig 1).